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Pre-Reservation Form
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(Vacancy Request Form)
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(Required
fields, please fill in) *
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Personal |
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First Name *:
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Surname *:
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Address |
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Address (Street/Apt./No.)*:
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Postal Code / ZIP (P.O. Box/R.R. No.) :
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City / Town *:
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Country *:
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If Country is not listed, please fill in :
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Phone Number *:
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Email *:
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Your Accommodation and preferred
Period |
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. . . at La Reine Cr�ole, Bed &
Breakfast : |
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Date of Arrival *: |
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Date of Departure *: |
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Total Nights *: |
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Number of Persons * |
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Adult(s) |
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Child(ren) under age of 18 * |
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Accommodation * |
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Room or Studio ? |
Room |
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Studio (with Kitchenette) |
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Please choose your Room (Studio) : |
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Room No. 1 |
(Twin Ensuite, 2 single beds !) |
Single (29,- Euro) |
Double (41,- Euro) |
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Studio No. 2 |
(Double Ensuite) |
Single (38,- Euro) |
Double (54,- Euro) |
3-4 pers. (69/80,- Euro) |
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Room No. 3 |
(Double Ensuite) |
Single (34,- Euro) |
Double (46,- Euro) |
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Studio No. 4 |
(Double / Triple Ensuite) |
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Double (59,- Euro) |
Triple (75,- Euro) |
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All Rates are per Night incl.
Continental Breakfast (English breakfast available) |
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Any further Services required ? |
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Pick-up from the
Airport :
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Yes |
No |
(Per Trip 50,- Euro / Distance : 1
hr Drive to our B&B) |
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Airline :
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Flight-No. :
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Other Airline :
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Arrival - on time
(Local Time Mauritius) :
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hrs.
min. |
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Destination :
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Other Destination :
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Transfer to the
Airport : |
Yes |
No |
Maybe |
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(The Transfer to the Airport starts
from La Reine Cr�ole, Bed & Breakfast) |
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Pick-up from another Place : |
Yes |
No |
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If Yes, please
fill in : |
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Individual Arrival ? |
Yes |
No |
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`����U `����U %���U �"���U ȩ���U �����U H( �����U ival-Time :
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At :
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hrs. ( Check-In possible until 8pm only ) |
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Rentals |
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PickUpVan / Car
(1200 MUR / Day) |
Yes |
No
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For how many Days ? :
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Scooter (125 cc,
automatic) (720 MUR/ Day) |
Yes |
No |
(No reservation essential) |
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Bike (160 MUR/ Day)
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Yes |
No |
(No reservation essential) |
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Do you have any questions ? |
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With sending
us this Request-Form you accept our Booking-Regulations
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Yes ;
No
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Fam. Corinne & Marc Oliver Rohr
LA REINE CR�OLE, Bed &
Breakfast
103, Rue des Manguiers, Morcellement Le Petit
Morne
La Gaulette, Coteau Raffin, M A U R I T I U S
Phone: +230.4515.558, Mobile: +230.57889.177
Site: www.mauritius-lrc.com, E-mail: info@mauritius-lrc.com /
reply@mauritius-lrc.com
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Design, content and
copyright of this page of Marc Oliver Rohr, Mauritius, 2013
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This Form is hosted from
<a
href="http://www.nettz.de/Formular-Chef/">Formular-Chef</a>.
(Formular-Service from Formular-Chef)
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